DR. Keith R Fuentes, PHARM.D.
NPI #1982218525 in West Peoria, Illinois
Provider Information
- NPI Number
- 1982218525
- Entity Type
- Individual
- Name
- DR. Keith R Fuentes, PHARM.D.
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Pharmacist
- Credential
- PHARM.D.
- Enumeration Date
- Sep 1, 2020
- Last Updated
- Sep 1, 2020
Practice Location
- Address
- 221 N WESTERN AVE
- City
- West Peoria
- State
- Illinois
- ZIP Code
- 61604-5640
- Phone
- (309) 673-0665
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pharmacist |
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